Steal syndrome secondary to coronary artery fistulae associa
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Introduction:
This case report presents the angiographic findings of a rare occurrence of multiple coronary arteriovenous (AV) fistulae associated with giant coronary artery aneurysms and steal syndrome in the settings of haemodynamic stress.

Case report:
A 76-year-old lady was referred to cardiology for investigation of ischaemic heart disease (IHD) prior to orthopaedic surgery.

The patient was undergoing staged revision of a septic total knee replacement. After the first revision surgery, she experienced ischaemic chest pain. She had a history of chronic rate-controlled atrial fibrillation but no history of IHD. Her cardiovascular risk factors include hypertension, type 2 diabetes mellitus, age and post-menopausal status. There was no associated troponin rise however the electrocardiography revealed anterior T-wave inversion (Figure ?(Figure1).1). Transthoracic echocardiography demonstrated mild tricuspid regurgitation, mild pulmonary hypertension, normal left ventricular function, and mild to moderately dilated right ventricle.....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3964188/
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